<%@ page language="java" contentType="text/html; charset=ISO-8859-1"
    pageEncoding="ISO-8859-1"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>Insert title here</title>
<link href="styles/style.css" rel="stylesheet" type="text/css" media="screen" />
</head>
<body>
	<div id="container">
		<%@ include file="header.jsp" %>
		
		<h1 align="center"> REGISTRATION FORM</h1>
        <form name="frmLogin" method="post" action=""  onsubmit="return validate(this);" >
            <table align="center">
            	<tr>
            		<td>
            			First name
            		</td>
            		<td>
            			: <input type="text" value="" name="firstname">
            		</td>
            	</tr>
            	
            	<tr>
            		<td>
            			Last name
            		</td>
            		<td>
            			: <input type="text" value="" name="lastname">
            		</td>
            	</tr>
               
               <tr>
            		<td>
            			Mobile NO
            		</td>
            		<td>
            			: <input type="text" value="" name="mobile">
            		</td>
            	</tr>
            	
            	<tr>
            		<td>
            			Address
            		</td>
            		<td>
            			: <input type="text" value="" name="address">
            		</td>
            	</tr>
                
                 
            	<tr>
            		<td id="gender">
            			Gender
            		</td>
            		<td>
            			: <input type="radio" value="Female" name="gender">Female
            				<input type="radio" value="Male" name="gender">Male
            		</td>
            	</tr>
            	
            	<tr>
            		<td>
            			State:
            		</td>
            		<td>
            			: <select  name="state">
            				<option value="Gujarat">Gujarat</option>
            				<option value="UP">UP</option>
            				<option value="MP">MP</option>
            				<option value="rajsthan">Rajstan</option>
            				<option value="Maharastra">Maharastra</option>
            			</select>
            		</td>
            	</tr>
            	
            	<tr>
            		<td>
            			City:
            		</td>
            		<td>
            			: <select  name="city">
            				<option value="gandhinagar">Gandhinagar</option>
            				<option value="Ahmedabad">Ahmedabad</option>
            				<option value="baroda">Baroda</option>
            				<option value="surat">Surat</option>
            				<option value="rajkot">Rajkot</option>
            				<option value="mumbai">mumbai</option>
            				<option value="udeypur">udeypur</option>
            				<option value="pune">pune</option>
            			</select>
            		</td>
            	</tr>
            	
            	<tr>
            		<td>
            			Email
            		</td>
            		<td>
            			: <input type="email" value="" name="email">
            		</td>
            	</tr>
            	 <tr>
                       <td>Password<p></td>
                       
                       <td>: <input type="password" name="password" size="12" />
                                  <p></td>
                 </tr>
                 <tr>
                       <td>Reenter Password<p></td>
                       <td>: <input type="password" name="Password1" size="12" />
                                 <p></td>
                 </tr>
                 <tr>
                       <th colspan="2"><input type="submit" name="registerProcess" value="Sign Up" /></th>
                 </tr>
             </table>
            
         </form>
         
             
		
		
	</div>
</body>
</html>